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General NPI Number Information
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NPI Number | 1558039263
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Entity Type | Organization
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Legal Business Name | PROCARE EMERGENCY PHYSICIANS PLLC
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Dates
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Enumeration Date | 08/30/2021
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Last Update Date | 01/19/2026
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Provider Practice Location Address
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Address Line | 3607 OAK LAWN AVE STE 100
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City | DALLAS
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State | TX
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Zip | 75219-4786
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Country | US
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Telephone | 469-750-1028
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Fax |
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Provider Business Mailing Address
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Address Line | 2703 TELECOM PKWY STE 140A
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City | RICHARDSON
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State | TX
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Zip | 75082-3507
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Country | US
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Telephone | 325-277-2460
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Fax |
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | MOINICA RAMIREZ
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Credential |
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Telephone | 325-277-2460
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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